Graduated: 2007
NPI: 1548400682
Practice Locations (2)
UPTOWN PROVIDERS PC
11786 NW CEDAR FALLS DR, SUITE 120
PORTLAND, OR 972292787
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.